<{include file="admin:common/header.html"}>
<div class="page-title">
    <table width="100%" align="center" cellpadding="0" cellspacing="0" >
      <tr>
        <td width="30" align="right"><img src="<{$pager.url}>/images/main-h5-ico.gif" alt="" /></td>
        <th><{$MOD.title}></th>
        <td align="right"><{link ctl="member/verify:index" priv="hidden" class="button"}></td>
        <td width="15"></td>
      </tr>
    </table>
</div>
<div class="page-data"><form action="?member/verify-create.html" mini-form="verify-form" method="post" ENCTYPE="multipart/form-data">
<table width="100%" border="0" cellspacing="0" class="table-data form">
<tr><th>姓名/企业名：</th><td><input type="text" name="data[name]" value="<{$detail.name|default:''}>" class="input w-300"/></td></tr>
<tr><th>证件号：</th><td><input type="text" name="data[id_number]" value="<{$detail.id_number|default:''}>" class="input w-300"/></td></tr>
<tr><th>证件图片：</th><td><input type="text" name="data[id_photo]" value="<{$detail.id_photo}>" <{if $detail.id_photo}>photo="<{$pager.img}>/<{$detail.id_photo}>"<{/if}> class="input w-300" />&nbsp;&nbsp;&nbps;<input type="file" name="data[id_photo]" class="input w-300" /></td></tr>
<tr><th>手机号：</th><td><input type="text" name="data[mobile]" value="<{$detail.mobile|default:''}>" class="input w-300"/></td></tr>
<tr><th>审核状态</th><td>
<ul class="group-list">
<li><label><input type="radio" name="data[verify]" value="" checked="" ck="MOD-6">审核状态</label></li>
<div class="clear-both"></div>
</ul>
</td></tr>
<tr><th>拒绝信息：</th><td><textarea name="data[refuse]" class="textarea"><{$detail.refuse}></textarea><br /></td></tr>
    <tr><th class="clear-th-bottom"></th><td class="clear-td-bottom" colspan="10"><input type="submit" class="bt-big" value="提交数据" /></td></tr>
</table>
</form></div>

<{include file="admin:common/footer.html"}>